Employee Sign-Out Form



A red asterisk (*) indicates required questions.


  1. Employee (First Name, Last Name)*


  1. Team Leader (First Name, Last Name)*


  1. Team Leader Completing Form (First Name, Last Name)
    *


  1. Employee Phone Number*


  1. Date of Conversation (Format Example 06/20/16)*


  1. Reason for Leaving*
    a. Personal Sickness
    b. Child/Family member Sickness
    c. Transportation Issue
    d. Bereavement
    e. Culpable
    f. DMS


  1. Employee Sign Off (have the Agent Type Name)*


  1. Team Lead Sign Off
    *